ORCID Profile
0000-0001-9685-6361
Current Organisations
Ministry of Health Sri Lanka
,
Baker IDI Heart and Diabetes Institute
,
Postgraduate Institute of Medicine University of Colombo
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Publisher: E-palli
Date: 12-01-2023
Abstract: Higher quality of life among doctors has been identified as a key factor in increased productivity of health service delivery. This study was designed to determine the quality of life and its correlates among doctors in Uva province, Sri Lanka. A descriptive cross-sectional study using self-administered questionnaires was carried out. The study s le of 403 doctors was selected following a multi-stage stratified cluster s ling method. Independent T-test and one-way ANOVA were used appropriately to determine the statistical significance. The mean total quality of life score of study participants was 65.1 (SD ±11.3) and all the domains had mean scores above 50. Age category (Less than 40 years) showed a negative association with Quality of Life revealing an adjusted OR of 0.7 (95% CI: 0.45-0.92) while doctors who are involved in private practice demonstrated an adjusted OR of 2.68 (95% CI: 1.34-4.33). Involved in regular physical exercise (adjusted OR=1.34, 95% CI: 1.10-2.31), Level of qualification(Having post-graduate qualifications)(adjusted OR=2.98, 95% CI: 2.3-3.6), Not living with children (adjusted OR=0.87, 95% CI: 0.67-0.93), were the other significant predictors retained in the model (p 0.05). The level of total quality of life of doctors in Uva province was substantially high. In idual domain scores also showed higher acceptable levels. As far as the associated factors of quality of life among medical officers are concerned, several adjustable behavioral factors were identified and could be attended to further increase the quality of life among doctors.
Publisher: Sri Lanka Journals Online (JOL)
Date: 30-06-2020
Publisher: Elsevier BV
Date: 08-2020
Publisher: Scientific Scholar
Date: 11-01-2022
Abstract: Background and Objectives The prevalence of stroke in urban Sri Lanka is estimated at 10.4 per 1000 and is expected to rise. Post-stroke depression (PSD) is an independent predictor of poor long-term outcomes. It leads to suboptimal rehabilitation, decreased quality of life, and increased mortality and is under-recognized. The main objectives of this study were to estimate the prevalence of depression in stroke, assess factors associated with PSD, and assess the relationship of PSD to disability. Materials and Methods A descriptive cross-sectional study was conducted at the Neurology and Medical Ward, National Hospital of Sri Lanka. Non-probability, consecutive s ling was used to collect data from patients with ischemic stroke admitted from January 2019 to January 2020. Patients with significant pre-existing depression, cognitive impairment, and language deficits were excluded. A structured, pre-tested interviewer-administered questionnaire was used to assess the prevalence and associated factors of PSD. Beck's Depression Inventory (BDI) was administered 3 months following the stroke to screen for depression. Modified Rankin Score (MRS) was used to assess disability on admission, discharge, and at 3 months. Results Eighty-one stroke patients were screened. The mean age was 66.6 years (±standard deviation [SD]: 12.5). Male:female ratio was 1.2:1. Depression at 3 months of follow-up was observed in 35.8% (95% confidence interval [CI]: 25.4–47.2%) of participants. Following bivariate analysis, large vessel stroke ( p 0.001), cortical stroke ( p 0.001), frontal lobe lesions ( p 0.001), history of past stroke ( p = 0.014), and sexual dysfunction ( p = 0.026) were associated with increased risk of PSD. The odds of a person with severe disability developing PSD was 7.9 times more than a person with a less severe disability at discharge from hospital and at 3 months of follow-up (odds ratio [OR] =7.9 95% CI: 2.7–23.3, p = 0.000). Conclusions PSD occurs in one-third of strokes, keeping with previous studies. The risk of having PSD is higher among patients with severe disabilities. The difference in risk factors identified compared with previous studies can be attributable to differences in methodology. Identifying risk factors for post-stroke depression is essential to mitigate the poor outcome.
Publisher: Hindawi Limited
Date: 25-11-2018
DOI: 10.1155/2018/9724176
Abstract: Background. Adolescence is defined by the World Health Organization (WHO) as “the transition period from childhood to adulthood”. Increases in autonomy during this period, willingness to experiment, and peer influence create an environment of taking high-risk decisions influencing adolescent health, such as substance abuse and smoking. The current study was conducted to estimate the prevalence of smoking, alcohol consumption, and illegal substance abuse and their determinants on in-school adolescents using data from the Global School-based Student Health Survey, Sri Lanka in 2016. Methods. A cross-sectional survey was conducted among 3,650 students using a self-administered questionnaire in government schools. Weighted prevalence was calculated, and logistic regression analysis was conducted to determine the correlates. Results. The prevalence of current alcohol, smoking, smokeless tobacco consumption, and substance abuse, 30 days before the survey, was 3.4% (95% CI 2.6 - 4.3), 3.6% (95% CI 2.5-5.0), 2.3% (95% CI 1.5-3.7), and 2.7% (95% CI - 1.7-4.2%). Male sex and involvement in physical fighting were independently associated with increased risk in all four substance categories assessed. Multivariate analysis using multiple logistic regression revealed that only the male sex and involvement in physical fighting were correlates for four substance categories assessed when confounding effects of other variables were accounted for. Being in the 16-17 age category, parents’ tobacco use and seeing actors consuming alcohol on TV increased the risk of alcohol consumption, smoking, and smokeless tobacco. Having ever attempted suicide was positively associated with increased risk for alcohol consumption, smoking, and illegal substance abuse. Conclusion. Alcohol use, smoking, smokeless tobacco use, and illegal substance abuse by students remain a concern in Sri Lanka and implementing life skills-based interventions at schools is recommended.
Publisher: Informa UK Limited
Date: 25-04-2021
Publisher: Hindawi Limited
Date: 2018
DOI: 10.1155/2018/4504287
Abstract: Diabetes incurs heavy burden to patients and the healthcare system. Assessment of disease burden is important in taking necessary precautions and management decisions. We aimed to determine the prevalence of macro- and microvascular complications, their risk factors, and coronary artery disease (CAD) risk factors among patients with type 2 diabetes mellitus (T2DM). A descriptive cross-sectional single-centre study was carried out among 3000 patients with T2DM attending the diabetic clinic at the National Hospital of Sri Lanka from January to July 2016. The study population had 72.7% females and 27.3% males. Mean age and disease duration were 58.3 ± 10.3 and 10.8 ± 7 years, respectively. Prevalence of CAD, stroke, and peripheral vascular disease were 10.6%, 1.1%, and 4.7% while diabetic retinopathy, neuropathy, nephropathy, diabetic foot, and lower extremity utation (LEA) were 26.1%, 62.6%, 50.8%, 2.6%, and 1.3%, respectively. Prevalence of overweight/obesity, hypertension, dyslipidemia, and smoking were 80%, 77.6%, 76.7%, and 11%, respectively. Increased age, disease duration, and HBA1c were risk factors for microvascular disease and diabetic foot while age was the only risk factor for macrovascular complications. Occurrence of CAD, peripheral neuropathy, diabetic foot, and LEA was significantly higher among males than when compared to females. This study highlights the major burden of chronic complications and high prevalence of CAD risk factors in this population.
Publisher: Sri Lanka Journals Online (JOL)
Date: 17-04-2018
Publisher: Hindawi Limited
Date: 03-02-2019
DOI: 10.1155/2019/7468363
Abstract: Background . Research focusing on the psychological aspect of diabetes is limited in Sri Lanka. Aim . Determine the prevalence of depression among patients with type 2 diabetes mellitus (T2DM) attending an out-patient clinic at a tertiary care hospital in Colombo, the capital of Sri Lanka. Methods . A descriptive cross-sectional study carried out among patients diagnosed with T2DM. Pregnant and patients with a prior psychiatric history were excluded. Depression assessed using validated Sinhala and Tamil version of the Beck’s Depression Index. Sociodemographic data and health related data were obtained from interviewer-based questionnaires and health records. Results . Of the 3000 patients, 72.7% were female. Mean age was 58.3 ±10.3 years and mean duration of diabetes 10.8 ± 7.3 years. Percentage of depression was 5.9% in the entire patient population with mild, moderate, and severe depression in 4.0%, 1.6%, and 0.3%, respectively. In multiple logistic regression, depression was significantly associated with female gender (OR 2.63, 95% CI 1.26-5.46 P=0.009), living without a spouse (single/ orced/widowed) (OR 1.83, 95% CI 1.12-2.98 P=0.01), lower education level (OR 1.92, 95% CI 1.14-3.22 P=0.01), and peripheral neuropathy (OR 1.79, 95% CI 1.00-3.18 P=0.04). Only 13.3% of the respondents said that doctors have ever inquired to their mental well-being. Conclusion . Depression was low in prevalence comparative to neighboring countries in the region. Patients were much more affected by the social factors than disease related factors. An in idualized holistic approach taking psychosocial issues to consideration should be focused in the comprehensive plan of management.
Publisher: Medknow
Date: 2022
Location: Sri Lanka
Location: Sri Lanka
Location: Sri Lanka
No related grants have been discovered for Mahesh Kumbukage.